Final Exam: NR568 / NR 568 (Latest
Update ) Advanced
Pharmacology for the Adult-
Gerontology Primary Care Nurse
Practitioner | Questions and
Answers | 100% Correct | Grade A -
Chamberlain
Question:
What do patients need to know about starting and stopping SSRIs?
Answer:
The best way to stop taking your medication is not by abruptly stopping, it's
by slowly tapering the medication while under a doctor's supervision. No two
people will respond to tapering off SSRIs the same way. Talk with your doctor
to come up with a plan that works best for you and your treatment goals.
,Question:
What patient type would be appropriate for MAOIs?
Answer:
A good candidate for an MAOI is someone who can follow the basic dietary
advice and who agrees to check with his or her clinician before starting new
medications’
isocarboxazid, phenelzine, selegiline, and tranylcypromine
Question:
Citalopram and escitalopram
Answer:
should be dosed at 1/2 dose due to risk of QT prolongation.
Question:
2019 American Geriatric Society (AGS) Beers Criteria include the following
recommendations:
Answer:
avoid paroxetine in patients with history of falls/fractures
avoid tricyclic antidepressants prescribed with other CNS depressants
,Question:
Valproic acid (hepatic) and Lithium (renal)
Answer:
Dosing of mood stabilizers is affected by age due to slowed elimination of
drugs. Examples include slowed renal elimination of lithium and slowed
hepatic metabolism of valproic acid
Question:
Lithium and diuretics
Answer:
2019 American Geriatric Society (AGS) Beers Criteria include the following
recommendations: avoid lithium in patients taking ACEIs or loop diuretics
Question:
Lithium and pregnancy
Answer:
Lithium, valproate, and carbamazepine are teratogenic and should be avoided
in pregnancy
, Question:
Buspirone (Buspar)
Answer:
taking other antianxiety medications severe hepatic impairmentsevere renal
impairmentlactation- small amounts are noted in breastmilk
contraindicated severe renal impairmentsevere hepatic impairment
concurrent use of MAOIs
Question:
beers criteria for older adults
Answer:
2019 American Geriatric Society (AGS) Beers Criteria include the following
recommendations:
avoid barbiturates (increased dependence, tolerance, risk of overdose)
avoid benzodiazepines (increased sensitivity, decreased metabolism)
Update ) Advanced
Pharmacology for the Adult-
Gerontology Primary Care Nurse
Practitioner | Questions and
Answers | 100% Correct | Grade A -
Chamberlain
Question:
What do patients need to know about starting and stopping SSRIs?
Answer:
The best way to stop taking your medication is not by abruptly stopping, it's
by slowly tapering the medication while under a doctor's supervision. No two
people will respond to tapering off SSRIs the same way. Talk with your doctor
to come up with a plan that works best for you and your treatment goals.
,Question:
What patient type would be appropriate for MAOIs?
Answer:
A good candidate for an MAOI is someone who can follow the basic dietary
advice and who agrees to check with his or her clinician before starting new
medications’
isocarboxazid, phenelzine, selegiline, and tranylcypromine
Question:
Citalopram and escitalopram
Answer:
should be dosed at 1/2 dose due to risk of QT prolongation.
Question:
2019 American Geriatric Society (AGS) Beers Criteria include the following
recommendations:
Answer:
avoid paroxetine in patients with history of falls/fractures
avoid tricyclic antidepressants prescribed with other CNS depressants
,Question:
Valproic acid (hepatic) and Lithium (renal)
Answer:
Dosing of mood stabilizers is affected by age due to slowed elimination of
drugs. Examples include slowed renal elimination of lithium and slowed
hepatic metabolism of valproic acid
Question:
Lithium and diuretics
Answer:
2019 American Geriatric Society (AGS) Beers Criteria include the following
recommendations: avoid lithium in patients taking ACEIs or loop diuretics
Question:
Lithium and pregnancy
Answer:
Lithium, valproate, and carbamazepine are teratogenic and should be avoided
in pregnancy
, Question:
Buspirone (Buspar)
Answer:
taking other antianxiety medications severe hepatic impairmentsevere renal
impairmentlactation- small amounts are noted in breastmilk
contraindicated severe renal impairmentsevere hepatic impairment
concurrent use of MAOIs
Question:
beers criteria for older adults
Answer:
2019 American Geriatric Society (AGS) Beers Criteria include the following
recommendations:
avoid barbiturates (increased dependence, tolerance, risk of overdose)
avoid benzodiazepines (increased sensitivity, decreased metabolism)
